Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
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End-stage renal disease (ESRD) monthly capitation payment (MCP) claims
Billing ESRD monthly capitation payment claims correctly is important. Read this article to learn more about billing these...
Part A outpatient date of service reporting and split billing
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Qualifying stay edit C7123
Read this article to learn more about skilled nursing facility (SNF) qualifying stay edit C7123.
Conditional payment requests for MSP claims
Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when...
Skilled nursing facility consolidated billing
Read this article to learn more about skilled nursing facility (SNF) consolidated billing.
Medical nutrition therapy and diabetes self-management training coverage and billing requirements
Read this article for billing requirements for medical nutrition therapy (MNT) and diabetes self-management training (DSMT)...
Prompt payment interest rate
The interest rate is determined by the applicable rate on the day of payment. This rate is determined by the Treasury Department...
Federally qualified health center 'G' codes
FQHCs must use the codes below when submitting claims to Medicare under the FQHC PPS. Be sure to maintain records of the...
Federally qualified health centers (FQHCs) payment for mental health visits furnished via telecommunications
View this article for information on FQHCs providing mental health visits via telehealth.